Social Media - Account Registration - Communications and Marketing

Department(Required)

Account Manager Name(Required)

First Last

Account Manager Title(Required)

Account Manager Email(Required)

Enter Email Confirm Email

Account Manager Phone(Required)

Backup Account Manager Name(Required)

First Last

Backup Account Manager Title(Required)

Backup Account Manager Email(Required)

Enter Email Confirm Email

Backup Account Manager Phone(Required)

Facebook

Twitter

Instagram

YouTube

Snapchat

TikTok

Other

List

Platform or platforms (ex. Facebook, Twitter, etc.)

Email

Please describe the intended purpose of your account(Required)

Would you like a social media consultation?(Required)

Yes

No

Social Media Account Registration